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Rural Health Information Hub

Rural Health
Resources by Topic: Rural-urban differences

Crime, Violence, Discipline, and Safety in U.S. Public Schools: Findings From the School Survey on Crime and Safety, 2021–22
Reports on crime and violence in U.S. public schools based on data from the School Survey on Crime and Safety (SSOCS). Includes programs and practices in schools to prevent crime as well as data tables on recorded incidents of crime, threats and physical attacks, hate crimes, substance abuse issues, mental health factors, and more. Include breakdowns of crime and violence variables by city, suburb, town, or rural location.
Author(s): Riley Burr, Jana Kemp Ke, Wang
Date: 01/2024
Sponsoring organizations: American Institutes for Research, National Center for Education Statistics
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Medicare Advantage Demographics Report, 2021
Summarizes demographics data on Medicare Advantage enrollment in 2021. Compares rural/urban residence of Medicare Advantage, Original Medicare, and dually eligible enrollees in Appendix B.
Date: 01/2024
Sponsoring organization: AHIP
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Veterans Health: VA Should Improve Its Monitoring of Severe Maternal Complications and Mental Health Screenings
Examines Veterans Administration (VA) data on deaths and severe maternal morbidity among pregnant and postpartum veterans from fiscal year 2011 through 2020. Explores actions the VA has taken to monitor maternal health outcomes among pregnant and postpartum veterans and the extent to which the VA facilitates mental health screenings for these veterans. Offers recommendations to the VA regarding monitoring trends in severe maternal morbidity by veteran characteristics and maternity care coordinators' screening of veterans for mental health conditions. Includes rural references throughout.
Additional links: Full Report
Date: 01/2024
Sponsoring organization: Government Accountability Office
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Temporal Trends in Substance Use and Cardiovascular Disease–Related Mortality in the United States
Analyzes 636,572 death certificates to identify trends for both substance use and cardiovascular disease-related mortality between 1999 and 2019. Breaks down data by rurality, sex, type of substance use, and more. Includes state-level comparisons.
Author(s): Abdul Mannan Khan Minhas, Jakrin Kewcharoen, Michael E. Hall, et al.
Citation: Journal of the American Heart Association 13(2)
Date: 01/2024
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Nursing Home Closures and Access to Post-Acute Care and Long-Term Care Services in Rural Areas
Examines distance to care for residents needing post-acute care (PAC) and long-term care (LTC) services. Analyzes nursing home closures from 2008 to 2018 and identifies closest PAC and LTC services in rural versus urban areas, with data broken down by population demographics, nursing home characteristics, and distance to providers.
Author(s): Hari Sharma, Redwan Bin Abdul Baten, Fred Ullrich, A. Clint MacKinney, Keith J. Mueller
Citation: Journal of Rural Health, 40(3), 557-564
Date: 01/2024
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Discretionary Transportation Grants: DOT Should Improve Transparency in the Infrastructure for Rebuilding America Program
Examines the Department of Transportation (DOT)'s processes to solicit, evaluate, and select applications for Infrastructure for Rebuilding America (INFRA) grant awards in fiscal year (FY) 2022, and the extent to which DOT's evaluation and selection processes aligned with federal guidance. Includes information about the Rural Surface Transportation program, which receives INFRA funding, and statistics on number of INFRA grant awards in FYs 2016–2022, with breakdowns by urban and rural areas.
Additional links: Full Report
Date: 01/2024
Sponsoring organization: Government Accountability Office
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Informing the Surgical Workforce Pathway: How Rural Community Characteristics Matter
Explores rural and urban surgeons' perspectives on community characteristics, utilizing interview data from 22 rural and 15 urban general surgeons in the Midwest. Identifies rural-urban differences in approach to physical environment, health resources, and professional/personal community roles. Discusses implications for surgeons' practice location choices and surgical workforce education and recruitment.
Author(s): Dorothy Hughes, Joshua Mammen, Tomas L. Griebling, Joanna Veazey Brooks
Citation: Remote and Rural Health, 24(1), 8363
Date: 01/2024
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End-Stage Renal Disease Treatment Choices (ETC) Model: Second Annual Evaluation Report
Evaluation of the End-Stage Renal Disease Treatment Choices (ETC) Model, incorporating analyses of home dialysis use, transplantation, acute care hospitalizations, outpatient ED visits, and hospital readmissions. Features results from interviews and surveys involving model participants and beneficiaries, and examines impacts of the ETC Model during calendar years 2021 and 2022. Includes facility-level statistics with breakdowns by urban and rural areas.
Additional links: Findings at a Glance
Author(s): Brighita Negrusa, Jennifer Wiens, Darin Ullman, et al.
Date: 01/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, The Lewin Group
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Telehealth Expansion, Internet Speed, and Primary Care Access Before and During COVID-19
Analyzes changes in primary care telehealth access among 172,387 Wisconsin Medicaid beneficiaries before and during the COVID-19 public health emergency. Assesses change in access over time by demographic characteristics, rural-urban dwelling, access to high speed internet, and health status.
Author(s): Alyssa Shell Tilhou, Arjun Jain, Thomas DeLeire
Citation: JAMA Network Open, 7(1), e2347686
Date: 01/2024
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Determinants of Disparities of Diabetes-Related Hospitalization Rates in Florida: A Retrospective Ecological Study Using a Multiscale Geographically Weighted Regression Approach
Analyzes the determinants related to diabetes hospitalizations in Florida according to ZIP code tabulation area (ZCTA) level. Utilizes 2016 to 2019 data to examine socioeconomic, demographic, healthcare-related, and built environment characteristics that correlate with diabetes-related hospitalizations. Includes state maps showing diabetes hospitalizations according to specific determinants, including rurality.
Author(s): Jennifer Lord, Agricola Odoi
Citation: International Journal of Health Geographics, 23(1)
Date: 01/2024
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